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<blockquote data-quote="kitedoc" data-source="post: 1803041" data-attributes="member: 468714"><p>As <a href="https://www.diabetes.co.uk/forum/members/helensaramay.181361/" target="_blank">helensaramay</a> points out<a href="https://www.diabetes.co.uk/forum/members/helensaramay.181361/" target="_blank"><span style="color: rgb(44, 44, 44)"> concern about nighttime hypos is </span></a>real. I was much happier when my evening long-acting insulin was changed from Isophane (like Insultard) to Levemir. </p><p>The former could not be trusted to provide the same effect each time, due to irregular absorption, compared to the much more reliable Levemir.</p><p>And the other thing was the blood-sugar lowering effect of exercise in late afternoon/evening, causing hypos in the early hours if precautions were not taken. I would lower the evening short-acting and long-acting insulins by at least 20% on these occasions and make sure I had some carbs with dinner and supper. And that still did not get me out of checking my blood suagr about every 2 hours through the night, just ion case I had miscalculated !!</p></blockquote><p></p>
[QUOTE="kitedoc, post: 1803041, member: 468714"] As [URL='https://www.diabetes.co.uk/forum/members/helensaramay.181361/']helensaramay[/URL] points out[URL='https://www.diabetes.co.uk/forum/members/helensaramay.181361/'][COLOR=rgb(44, 44, 44)] concern about nighttime hypos is [/COLOR][/URL]real. I was much happier when my evening long-acting insulin was changed from Isophane (like Insultard) to Levemir. The former could not be trusted to provide the same effect each time, due to irregular absorption, compared to the much more reliable Levemir. And the other thing was the blood-sugar lowering effect of exercise in late afternoon/evening, causing hypos in the early hours if precautions were not taken. I would lower the evening short-acting and long-acting insulins by at least 20% on these occasions and make sure I had some carbs with dinner and supper. And that still did not get me out of checking my blood suagr about every 2 hours through the night, just ion case I had miscalculated !! [/QUOTE]
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